Ashley Bayoumi, LPC

Individual provider Active NPI Professional Counselor · New Roads, LA

NPI 1629469739 · NPPES record last updated Jun 5, 2025

Key facts

NPI
1629469739
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
4245 (LA)
Practice address
143 E Main St Unit 1
New Roads, LA 70760-3573
Phone
(225) 399-7905
Fax
(225) 754-4734
NPI assigned
Feb 11, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240223002226 LA Practitioner - Mental Health Counselor 6608226477 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
4245LAMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Innis Community Health Center, Inc Current
since Jan 3, 2024
Accepting new patients
Innis Community Health Center, Inc Current
since Jan 3, 2024
Accepting new patients
Innis Community Health Center, Inc Past Accepting new patients

Locations

6450 LA Highway 1
Batchelor, LA 70715
Phone (225) 618-5015

8387 Newfield Dr
Ste B
Livonia, LA 70755
Phone (225) 412-0202

8387 Newfield Dr
Livonia, LA 70755
Phone (225) 412-0202

230 Roberts Dr
Ste H
New Roads, LA 70760
Phone (225) 618-7800

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4245 LA
Professional Counselor 101YP2500X 4245 LA Yes

Addresses

Primary practice location

143 E Main St Unit 1
New Roads, LA 70760-3573

Mailing address

PO Box 1012
New Roads, LA 70760-1012
Phone (225) 399-7905

Other practice location 1

1215 Independence Blvd.
Building 5 Suite B
Zachary, LA 70791
Phone (225) 399-7905

Other providers in New Roads, LA

All providers in New Roads, LA · Professional Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.